07D2063214 CLIA NUMBER - EASTERN CONNECTICUT PHYSICIAN ASSOCIATES, LLC

Laboratory Demographics

  • CLIA Code: 07D2063214
  • Facility Name: EASTERN CONNECTICUT PHYSICIAN ASSOCIATES, LLC
  • Facility Address: 2701 TAMARACK AVE
    SOUTH WINDSOR, CT
    ZIP 06074
  • Facility Phone: 860 375-5141
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GAYETHRI NARAYANSWAMY
  • NPI Number: 1821436007
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D2063214
LAB Type Physician Office
Facility Name EASTERN CONNECTICUT PHYSICIAN ASSOCIATES, LLC
Street 2701 TAMARACK AVE
City SOUTH WINDSOR
State CT
ZIP 06074
Phone 860 375-5141
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2025
Certificate Expiration Date 7/29/2027
Facility Type Physician Office
Lab Director GAYETHRI NARAYANSWAMY

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This page was last updated on: 9/29/2025